Provider Demographics
NPI:1689704793
Name:SM CHIROPRACTIC
Entity Type:Organization
Organization Name:SM CHIROPRACTIC
Other - Org Name:AMERICAN HEALTH CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:HAMLIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:606-329-0035
Mailing Address - Street 1:1401 WINCHESTER AVE
Mailing Address - Street 2:STE 502
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41101-7555
Mailing Address - Country:US
Mailing Address - Phone:606-329-0035
Mailing Address - Fax:606-329-8261
Practice Address - Street 1:947 WINCHESTER AVE
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-7446
Practice Address - Country:US
Practice Address - Phone:606-326-1231
Practice Address - Fax:606-325-9830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY9375Medicare ID - Type Unspecified